MEDICARE: DR. CECILIA JAVIER ASTORGA-SWITZER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	041571	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659395044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECILIA JAVIER ASTORGA-SWITZER M.D.

Provider Business Mailing Address
First Line	:	79 W ALEXANDRINE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2015
Country	:	US
Telephone Number	:	313-831-5535
Fax Number	:	313-832-2810

Provider Business Practice Location Address
First Line	:	79 W ALEXANDRINE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2015
Country	:	US
Telephone Number	:	313-831-5535
Fax Number	:	313-832-2810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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